A Randomized, Double-Blinded, Placebo-Controlled Study of the Effect of XmAb®5871 on Systemic Lupus Erythematosus Disease Activity
Trial Snapshot
- Phase
- Phase 2
- Status
- Completed
- Sponsor
- Xencor, Inc.
- Enrollment
- 105
- Locations
- 23
- Primary Endpoint
- Percentage of Patients Without Loss of Systemic Lupus Erythematosus Disease Activity Improvement on Day 225
Study Overview
Brief Summary
The purpose of this study is to determine the ability of XmAb5871 to maintain Systemic Lupus Erythematosus (SLE) disease activity improvement achieved by a brief course of disease-suppressing steroid therapy
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Treatment
- Masking
- Quadruple (Participant, Care Provider, Investigator, Outcomes Assessor)
Eligibility Criteria
- Ages
- 18 Years to 65 Years (Adult, Older Adult)
- Sex
- All
- Accepts Healthy Volunteers
- No
Inclusion Criteria
- •Patients with a diagnosis of SLE as defined by the ACR criteria
- •Patients have a history of a (+) ANA, (+) ENA or a (+) anti-dsDNA serology documented within one year prior to randomization
- •Investigator has assessed the patient and in their judgment, the SLE disease activity is not organ threatening
- •Both investigator and patient agree that it is acceptable to discontinue their current immunosuppressant SLE medications and receive a brief course of IM steroid therapy
- •If patients are on oral steroids, they must be on the equivalent of ≤15 mg/day of prednisone to enter screening, and must be able to taper to ≤10 mg/day by randomization
Exclusion Criteria
- •History or evidence of a clinically unstable/uncontrolled disorder, condition or disease, other than SLE that, in the opinion of the investigator would pose a risk to patient safety or interfere with the study evaluation, procedures or completion
- •Patients who have organ threatening manifestations of SLE including active Class 3 or 4 lupus nephritis requiring induction or maintenance therapy or any other disorder for which stopping SLE therapy is contraindicated
- •Active CNS lupus such as seizures or psychosis that in the opinion of the investigator would preclude participation
- •Unstable hemolytic anemia or thrombocytopenia
- •Patient is pregnant or breast feeding, or planning to become pregnant while participating in the study
- •Use of any biologic therapy (including belimumab) within 6 months of randomization, or prior exposure to a monoclonal antibody directed to CD20 (such as rituximab) within 12 months of randomization
Arms & Interventions
Placebo
Placebo to match XmA5871 administered by IV infusion for up to a total of 16 infusions
Intervention: Placebo to match XmAb5871 (Biological)
XmAb5871
XmAb5871 administered by IV infusion for up to a total of 16 infusions
Intervention: XmAb5871 (Biological)
Outcomes
Primary Outcomes
Percentage of Patients Without Loss of Systemic Lupus Erythematosus Disease Activity Improvement on Day 225
Time Frame: Day 225
Landmark proportion of patients without loss of systemic lupus erythematosus disease activity improvement on Day 225
Secondary Outcomes
- Percentage of Patients Without Loss of Systemic Lupus Erythematosus Disease Activity Improvement on Day 169(Day 169)
- Time to Loss of Systemic Lupus Erythematosus Disease Activity Improvement Achieved by a Short Period of IM Steroid Therapy in SLE Patients(From the date of randomization until the date of loss of Systemic Lupus Erythematosus Disease Activity Improvement, or the date of the final efficacy assessment, up to 239 days.)
